perhaps the problem is that their is no system of GPs in Thailand. in the UK and i believe in the USA you visit the GP and if they think it necessary they will refer you to hospital. Here you go straight to the hospital to see a doctor or you go to a clinic and if you dont like what the doctor at the clinic says or the tablets dont work you just go to the hospital. Or the doctor at the clinic advises you to go to the hospital but there is no proper system of referrals from the clinics to the hospitals.